Innovations conference 2014 dr andrew knight fostering integration
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Transcript of Innovations conference 2014 dr andrew knight fostering integration
Fostering Integration of General Practices
with Cancer Services through Improved
Communication Pathways
Andrew Knight
Fairfield GP Unit
The Fairfield GP Unit
Andrew Knight, Siaw-Teng Liaw
SW Sydney LHD Cancer Services
Geoff Delaney
The Ingham Institute
Afaf Girgis
The SW Sydney Medicare Local
Rene Pennock/Keith McDonald
The Cancer Institute of NSW
2 projects
1. Needs analysis semistructured interviews 22 GPs across the region– Like cancer services
– Want information/access
– Patient care letters not timely
2. Speed up letters– Produce them quicker
– Transmit them better
Q1. What are we trying to achieve?
Letters in a week.
Q2. How will we know the change is an
improvement?
Mosaic – dictation to approval of letters
Q.3 What changes do we think will make a
difference?
Process map and PDSA/rapid improvement cycles
Aim: letters within a week…
Expert reference group – admin, oncologist,IT,
GP practice manager, ML
Microteam meetings
• Rapid improvement cycles to redesign process map
• Dictation to approval
Priorities
1. Sustainable and routine
– Document the new process
– Regular data part of KPI dashboard
Priorities
2. Digital transmission
Currently mail.
Considered fax…
Digital
• The agenda
• Rapidly evolving environment
• Conversation begun
Our strategy
• Mosaic to Cerner
• Cerner to GPs
– “GP communications”
– Argus/Healthlink
– Health E Net
• GP communications
• Plug into what follows
Conclusion
• General practice and cancer services must work
together
• Partnerships required
• Timely communication necessary
• Possible to improve
• E health solutions required